RT Book, Section
A1 Barlotta, Kevin S.
A1 Stack, Lawrence B.
A1 Knoop, Kevin J.
A2 Knoop, Kevin J.
A2 Stack, Lawrence B.
A2 Storrow, Alan B.
A2 Thurman, R. Jason
SR Print(0)
ID 1181488548
T1 Tension Pneumothorax with Needle Thoracentesis
T2 The Atlas of Emergency Medicine, 5e
YR 2021
FD 2021
PB McGraw-Hill
PP New York, NY
SN 9781260134940
LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1181488548
RD 2024/04/19
AB A  tension  pneumothorax  results  when  air  enters  but  does  not  exit  the  pleural  space.  Air  in  the  pleural  space  accumulates  and  compresses  the  ipsilateral  lung  and  vena  cava,  with  a  rapid  decrease  in  cardiac  output.  The  contralateral  lung  may  suffer  ventilation/perfusion  mismatch.  Subcutaneous  air,  tracheal  deviation,  jugulovenous  distention  (JVD),  and  diminished  or  hyperresonant  ipsilateral  breath  sounds  are  clues.  Subcutaneous  emphysema  may  be  visible  on  the  neck  and  chest  radiographs  and  is  easily  diagnosed  by  palpation.  The  released  air  from  a  tension  pneumothorax  can  be  heard  escaping  during  a  needle  thoracostomy.